2013_0408'r K E - C t T Y 0 F
COPPELL
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X 6s� S 5
A S 1
METER ISSUANCE / WORK ORDER
Account Number-
Date: q' B - 13 Compaay/Representativa: ; ',G cat P,= �q�p
Proje.^t 2�Iarne: 1 tL ST_ 0' ,'nay= /
Location of Meter:
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B riling Accouat 1\Tar�e: 'r2O V � iJ �N � � t�v�,p�l Al �
Billing Address: �.0, k3c�fC / 7`t�i C) City: -09PL- (l State: ` X— Zip Code: I
Phone r: F 1 a l am- el �� D
D.L. (3 �S7z 6
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Printed Name: T@ K ALlMAAQ Signature:
Domestic Mtn. ri Size: Reading Deposit Amt.
Domestic Mtr, 4 Size: Reading Deposit Amt.
frtigation Mtr. # DW Q� Size: tt Reading Deposit Amt_
Irrigation Mtr. - Size: Reading Deposit Amt_
Fire Line Mtr. ' Size: Reading Deposit Amt. _
Fire Line Mt. 4 Size: Reading Deposit Amt. _
Teraporary Mtr, Beginning Reading Deposit Amt_
TEMPORARY METERS: $1 000 DEPOSIT REQUIRED
Applicant shall return the meter to 816 S. Coppell Road when completed with project Cost of any repairs or
replacements necessary shall be billed on the final statement or deducted from the deposit_
Applicant is responsible for winterizing all temporary constumction meters and components to protect them against any
damage due to fc�ezing temperatures.
Customer is not allowed to move.or relocate a meter to different jobs /projects. _Only yellow City Fire I- lydrnts may be
used Customer must call 972 to report a reading. The City is not responsible for any stolen property under
any conditions.
The City will deposit the $1,000 upon receipt The current, minimum monthly water bill shall be $48.¢0, which
includes the first LODO gallons used.. All water in excess of 1,000 gallons will be $2.60 per 1,00D gallons. (Minimum
charges are subject to change.) Monthly payment is due by the 5'� of each raonth. If payment is not received by this
date, there will be a penalty of 10% accessed to the total balance.
Water Tap $ Sewer Tap $
See aftaoW fe-0- gyp- .
Meter $ Final Inspection $
puaoe 0( I -'6 t. v r.